Reardon, Zachary David
Reardon, Zachary David is an individual health care provider with primary practice located at 168 Mobile Infirmary Blvd , Mobile AL 36607-3510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Reardon, Zachary David can be contacted via phone (251) 433-1895.Contact Information
Primary practice address
168 Mobile Infirmary Blvd
Mobile AL 36607-3510
Phone: (251) 433-1895
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35016 | Alabama |
Profile Details
| NPI number | 1073804209 |
|---|---|
| LBN Legal business name | Reardon, Zachary David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2011 |
| Last updated | Feb 22nd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073804209 | NPPES |
| Alabama | MEDICAID | 185075 |
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